Newford Nursing Home

Newford Nursing Home provides accommodation with nursing and personal care to a maximum of 41 people with physical disabilities, dementia-related illness and/or mental health needs. There were 38 people living at the home at the time of our inspection visit.

A registered manager was in post and present during our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last comprehensive inspection of the service on 26 April 2016, we found breaches of Regulations 12 and 17 of the Health and Social Care 2008 (Regulated Activities) Regulations 2014 and a breach Regulation 18 of the Care Quality Commission (Registration) Regulation 2009. These breaches related to the provider's failure to consistently and effectively assess, monitor and manage the risks to people, and a lack of clear leadership at the service. The provider had also failed to notify us of important events involving people who lived at the home, in line with their registration with us. We gave the service an overall rating of requires improvement. We undertook a focused inspection at Newford Nursing Home on 10 October 2016 to check whether the provider was now meeting their legal requirements and found continued regulatory beaches. The provider sent us an action plan setting out the improvements they intended to make.

At this inspection, we found the provider had made improvements to the service, and that they were now meeting the Regulations. The risks associated with people's individual care and support needs had been assessed, recorded and reviewed, and plans implements to manage these. The registered manager had the time and support needed to provide staff with effective leadership and management.

People were supported by staff who had received training in, and understood, how to protect them from avoidable harm and abuse. The staffing levels maintained at the service ensured people's individual needs could be met safely. Systems and procedures were in place designed to ensure people received their medicines safely and as prescribed. However, people's medicines were not always securely stored at all times.

Staff received ongoing training and support to enable them to successfully fulfil their duties and responsibilities. People's consent to care was sought and their right to make their own decisions respected. People had enough to eat and drink, and any associated risks were assessed and managed. Staff supported people to access professional medical advice and treatment if they were unwell.

Staff treated people with kindness and compassion, and took the time to get to know them well. People's involvement in care planning was encouraged, and their views about the service welcomed. People's rights

to dignity and respect were understood and promoted.

People received care and support that took into account their individual needs and requirements. They had support to spend time doing things they found stimulating and enjoyable. People and their relatives were clear how to raise a complaint with the provider, and had confidence they would be listened to.

People, their relatives and community professionals described an open and inclusive culture within the service. Staff felt well supported and were clear what was expected of them at work. The provider carried out a range of quality assurance activities to assess, monitor and address the quality of the service people received at Newford Nursing Home.

The five questions we ask about services and what we found